Provider Demographics
NPI:1386822732
Name:VOS, WANDA LOU (LMHC LMSW)
Entity Type:Individual
Prefix:
First Name:WANDA
Middle Name:LOU
Last Name:VOS
Suffix:
Gender:F
Credentials:LMHC LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 19TH ST
Mailing Address - Street 2:
Mailing Address - City:ROCK VALLEY
Mailing Address - State:IA
Mailing Address - Zip Code:51247-1037
Mailing Address - Country:US
Mailing Address - Phone:712-476-3281
Mailing Address - Fax:712-476-2970
Practice Address - Street 1:1311 GOLF COURSE RD
Practice Address - Street 2:
Practice Address - City:ROCK VALLEY
Practice Address - State:IA
Practice Address - Zip Code:51247-1548
Practice Address - Country:US
Practice Address - Phone:712-476-3281
Practice Address - Fax:712-476-2970
Is Sole Proprietor?:No
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00406101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health